Active NPI
Williams & Williams Chiropractic Clinic
- Chiropractor
- Jackson, TN
National Provider Identifier
1245441963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 313
- Legal business name
- WILLIAMS & WILLIAMS CHIROPRACTIC CLINIC
- Practice address
- 30 Lynoak CV
Jackson, TN 38305-2800 - Phone
- (731) 664-7955
- Fax
- (731) 668-4795
- NPI assigned
- May 24, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Debe Elaine Williams, D,C,
- Title
- President
- Phone
- (731) 664-7955
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 313 | TN | Primary |
Addresses
Primary practice location
30 Lynoak CV
Jackson, TN 38305-2800
Mailing address
30 Lynoak CV
Jackson, TN 38305-2800
Phone (731) 664-7955
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3677135 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
30 Lynoak Cv
Jackson, TN 38305
Phone (731) 664-7955
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1187740800000",
"number": "1245441963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 LYNOAK CV",
"city": "JACKSON",
"state": "TN",
"postal_code": "383052800",
"telephone_number": "731-664-7955",
"fax_number": "731-668-4795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 LYNOAK CV",
"city": "JACKSON",
"state": "TN",
"postal_code": "383052800",
"telephone_number": "731-664-7955",
"fax_number": "731-668-4795"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIAMS & WILLIAMS CHIROPRACTIC CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-24",
"last_updated": "2007-08-22",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "DEBE",
"authorized_official_middle_name": "ELAINE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "731-664-7955",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D,C,"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "TN",
"license": "313",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3677135",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.